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MELANDREA L WORSLEY
NPI 1902301328
Internal Medicine - Nephrology in Houston, TX

Active since March 27, 2018PECOS Enrolled
88.7/100
CMS Quality Rating
5373 W ALABAMA ST STE 204, HOUSTON, TX 77056(346) 549-4661 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Jun 9, 2022, Mar 27, 2018 (3 updates tracked since 2018).

About Melandrea L Worsley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANDREA L WORSLEY (NPI 1902301328) is an individual nephrology provider in Houston, Texas, licensed in Texas (U2673) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and maintains a secondary practice location in Mcpherson.

NPPES Registry Identity

NPI1902301328
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMELANDREA L WORSLEY
Location Address5373 W ALABAMA ST STE 204Houston, TX 77056-5923
Mailing Address2700 Cullen Blvd Unit 84174Pearland, TX 77584-1511 · (713) 376-7633
Phone(346) 549-4661
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2018
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1902301328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · U2673
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License U2673 (TX), 04-45934 (KS)
5373 W ALABAMA ST STE 204, Houston, TX 77056
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Hospital DrMcPherson, KS 67460-2326 · Phone (610) 241-2250 · Fax (620) 798-2630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melandrea L Worsley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406238047
PECOS Enrollment IDI20220729000678, I20230825003311
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Melandrea Worsley reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Empire Nephrology, PLLC
Same address
Nephrology
5373 W ALABAMA ST STE 204
Houston, TX 77056
  • Reassigned Medicare billing, Kansas and Texas enrollments
NPI 1851004733 (346) 549-4661
Velasco Inpatient Services PLLC
38 mi
Emergency Medicine
132 E HOSPITAL DR
Angleton, TX 77515
  • Reassigned Medicare billing, Texas enrollment
  • 37 clinicians in this Medicare group
NPI 1811295512 (954) 939-5000
Hni Medical Services
148 mi
Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1366735169 (512) 730-3060
Usacs Integrated Acute Care Services Of Texas, PLLC
151 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443
William Newton Memorial Hospital
524 mi
Rural Health
1700 E 9TH AVE
Winfield, KS 67156
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1548229149 (Kansas)
  • 156 clinicians in this Medicare group
NPI 1003473554 (620) 221-0110
Vigilias LLC
558 mi
Internal Medicine
4704 E OAKLAND
Wichita, KS 67218
  • Reassigned Medicare billing, Kansas and Texas enrollments
  • 92 clinicians in this Medicare group
NPI 1407242241 (800) 924-8140
Newman Memorial County Hospital
599 mi
Emergency Medicine
1201 W 12TH AVE
Emporia, KS 66801
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1922306729 (Kansas)
  • 86 clinicians in this Medicare group
NPI 1457379273 (620) 343-6800
First Docs PC
924 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Texas enrollment
  • 43 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170023
Location401 East SpruceGarden City, KS 67846 · Finney County
Emergency services Birthing friendly

Centura St. Catherine-Dodge City

Acute Care Hospitals · Dodge City, KS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number170175
Location3001 Avenue ADodge City, KS 67801 · Ford County
Emergency services Birthing friendly

Newman Regional Health

Critical Access Hospitals · Emporia, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171384
Location1201 West 12th AvenueEmporia, KS 66801 · Lyon County
Emergency services Birthing friendly

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.47
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TUONG VAN DO PHAM
Contractor
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (720) 687-3255
TIFFANY NICOLE KING LMT
Massage Therapist
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (346) 235-7309
EXECUTIVE SOLE PODIATRY, PLLC
Clinic/Center (Podiatric)
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (866) 925-5662
DYNAMIC BY DESIGN PROSTHETICS, PLLC
Prosthetist
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (832) 899-4268
KENGA MEDICAL AND SURGICAL CONSULTANTS PLLC
Plastic Surgery
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (281) 624-8008
EVAN ANTHONY MULLOY MD
Urology
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (888) 538-4185
BLOOMHAVEN WELLNESS CENTER
Family Medicine
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (832) 466-2215
CONSCIENTIAMD INC
Psychiatry & Neurology (Psychiatry)
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056
Harris County (281) 305-0364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melandrea Worsley's NPI number?

The NPI number for Melandrea Worsley is 1902301328. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Melandrea Worsley located?

Melandrea Worsley practices at 5373 W Alabama St Ste 204, Houston, TX 77056. The listed phone number is (346) 549-4661.

What is Melandrea Worsley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Melandrea Worsley enrolled in Medicare?

Yes. Melandrea Worsley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melandrea Worsley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melandrea Worsley reassigns Medicare benefits to 8 organizations: Empire Nephrology, PLLC (Houston, TX), Velasco Inpatient Services PLLC (Angleton, TX), Hni Medical Services (Austin, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), William Newton Memorial Hospital (Winfield, KS) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melandrea Worsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melandrea Worsley accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Melandrea Worsley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melandrea Worsley affiliated with any hospitals?

According to CMS data, Melandrea Worsley is affiliated with Centura St. Catherine Hospital-Garden City, Centura St. Catherine-Dodge City, Newman Regional Health, University Of Texas Medical Branch Galveston and The Medical Center Of Southeast Texas.

When was this NPI record last updated?

The NPPES record for Melandrea Worsley was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.